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They are both totally frank and completely respectful. " *Note: Jenna Ryan on The Self Love U Blog has more amazing Crucial Conversations sketchnotes on her blog. Click on the link for her site or the image above to see more of her work. Embrace "And" > "Or" When Making Decisions We often fall into the pitfall of making a "sucker's choice" between two ugly options. Example: We think we need to choose between bringing up something important or being kind. We can have both. "What makes these sucker's choices is that they're always set up as the only two options available. It's the worst kind of either/or thinking. The person making the choice never suggests there's a third option that doesn't call for unhealthy behavior. For example, maybe there's a way to be honest and respectful. Perhaps we can express our candid opinion to our boss and be safe. " Create a Safe Environment for Voicing Productive Conflict When put into challenging situations, people often resort to silence or violence. To counter this unproductive tendency, establish mutual purpose in conversations with others.
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70 for all stages. The GOLD staging system may be insensitive in early stages 12. Quantitative analysis of low attenuation areas can aid in classifying the severity of the disease 15. Clinical phenotypes Several distinct clinical phenotypes have been described 4, 6, 8: emphysema predominant airways predominant small airways predominant large airways predominant mixed Plain radiograph Findings of chronic bronchitis on chest radiography are non-specific and include increased bronchovascular markings and cardiomegaly. Emphysema manifests as lung hyperinflation with flattened hemidiaphragms, a small heart, and possible bullous changes. On the lateral radiograph, a "barrel chest" with widened anterior-posterior diameter may be visualised. The " sabre-sheath trachea " sign refers to marked coronal narrowing of the intrathoracic trachea (frontal view) with concomitant sagittal widening (lateral view). CT Findings of COPD may be seen in a variety of CT chest studies, e. contrast-enhanced CT, CT pulmonary angiography, staging CT chest, HRCT chest, etc.
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